Nurses Drive Improved Patient Flow When WakeMed nurses collaborate with physicians and staff, patients win. This holds true for the nursing-led initiatives to improve patient flow in and out of WakeMed’s six emergency departments. WakeMed Chief Nursing Officer Cindy Boily, RN, continues to be the administrative driver behind our successful patient flow improvement efforts.
Total Time from Admission Order to ED Exit
WakeMed Raleigh Campus Goes Greener The Green Team – a group of three RNs, two mid-level providers, a physician and tech – launched in 2010 in the Triangle’s only Level I Trauma Center (WakeMed Raleigh Campus). The team’s purpose: to improve adult, mid-acuity patient wait times. Are they making progress? Absolutely!
Total Time in ED 299 minutes – Oct. 2011 – Oct. 2012 263 minutes – Oct. 2012 – July 2013 YTD Improvement: 12% The most significant changes occurred in June and July 2013 when the Green Team “went greener” and began serving patients 24/7.
Back at the Bedside Nursing and Patient Transport Services at WakeMed Raleigh Campus have a successful collaboration that helps keep nurses by the bedside to directly care for and educate patients and families.
The WakeMed Cary Hospital Nursing and Transport teams began a similar collaboration in October 2012 and they are experiencing the same positive results.
Nursing Hours Back at the Bedside – Raleigh Campus 14,700 hours since Oct. 2011
Nursing Hours Back at the Bedside – Cary Hospital 1,380 hours since Oct. 2012
Patients Left Without Being Seen: Improvements for all WakeMed Emergency Departments
Exemplary Professional Practice
Dramatically Decreasing Patient Falls Thanks to highly engaged nurses, new technology (TABS monitors), the WakeMed Falls Committee’s specially designed falls toolkit and constant reminders (such as screensavers), patient falls with injury decreased by 50 percent.
eICU®: Extra Expertise for Critically Ill Patients
In September 2012, WakeMed became the first hospital in the Triangle to offer an extra layer of care for critically ill patients – WakeMed eICU Services. Through the use of computers and carefully placed cameras in patient rooms, the off-site eICU clinical nurses monitor patients and collaborate with in-unit clinical nurses in the 88 adult critical care beds at Raleigh Campus and Cary Hospital.
The Benefits of the WakeMed eICU Service
Quarter 4 2012 – Quarter 1 2013
AVOIDED DAYS Avoided ICU Days Avoided Non-ICU Days Total Avoided Days
TOTAL 1,098 625 1,723
MORTALITY MEASUREMENT PERIODS Qtr. 3, 2012 (start of eICU) Qtr. 4, 2012 Qtr. 1, 2013 Qtr. 2, 2013